Refractory bleeding from a malignant duodenal ulcer treated with placement of a fully-covered gastroduodenal stent

摘要

The placement of gastroduodenal self-expanding metal stents (SEMS) is an established treatment for malignant duodenal obstruction [1]. Fully-covered stents are designed to prevent tumor in-growth [2]. The following case demonstrates the novel and successful management of intractable bleeding from a malignant duodenal ulcer by the placement of a fully-covered SEMS. We believe the covered stent was instrumental in providing a tamponade effect on the malignant lesion leading to hemostasis.